Titlebook: Safer Healthcare; Strategies for the R Charles Vincent,René Amalberti Book‘‘‘‘‘‘‘‘ 2016 The Editor(s) (if applicable) and The Author(s) 201

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Charles Vincent,René AmalbertiThis work is supported by the Health Foundation, an independent charity working to improve the quality of healthcare.Set up a new vision of patient safety not only based his stay at the hospital.Consi

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Progress and Challenges for Patient Safety,t we believe that future progress, particularly in the wider healthcare system, will require a broader vision of patient safety. In this chapter we briefly review progress on patient safety and consider the principal future challenges as we see them.

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Book‘‘‘‘‘‘‘‘ 2016ty over the long term. These strategies are applicable at all levels of the healthcare system from the frontline to the regulation and governance of the system..There have been many advances in patient safety, but we now need a new and broader vision that encompasses care throughout the patient’s jo

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Approaches to Safety: One Size Does Not Fit All,afety. Most safety improvement strategies aim to improve the reliability of care and move more closely to optimal care. We suggest that these strategies need be complemented by strategies that are more concerned with detecting and responding to risk and which assume that care will often be delivered in difficult working conditions.

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Safety Strategies in Hospitals,ons available to us; secondly we can customise the blend of strategies to different contexts and third the high level architecture of safety strategies may help us think more strategically about safety both day to day and on a long term basis

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Safety Strategies in Primary Care, issues that arise are likely to be of a very different character. We have earlier suggested that we should recast patient safety as the management of risk over time; this perspective may be better adapted to the longer time scales of primary care.

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A Compendium of Safety Strategies and Interventions, the varying settings along the patient journey. This implies in turn that we need to think more explicitly about what kind of safety strategies are most useful in different contexts. We can now draw these themes together and consider the new directions that emerge.

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Managing Risk in the Real World,of ideas and argument but we hope that these are both rooted in practice and practical application. In this chapter we first consider some of the more immediate implications as we see them and then consider the form a longer term exploration and development might take.